(PACU), Mr. Potter
At one point during Mr. Potter's stay in PACU, you observe bronchial secretions in his
ET tube and hear bilateral rhonchi with auscultation. Mr. Potter's SpO2 has dropped to
92%. What should you do? - ✔️✔️B. Prepare to suction through the ET tube
You suction Mr. Potter and obtain thick white mucous. To prevent hypoxia with
suctioning you: - ✔️✔️A. hyperoxygenate Mr. Potter before suctioning
C. allow at least two minutes between suctioning attempts, as possible
D. insure that oxygen is reapplied between suctioning attempts
Mr. Potter's current temperature is 35.8 degrees C (96.4 degrees F) and he is shivering.
You know that Mr. Potter's shivering is a physiological effort to: - ✔️✔️B. generate heat
The nurse anesthetist gives you Mr. Potter's record, and prepares to give you a verbal
report. You know that her verbal report should include: - ✔️✔️B. The name of the
surgical procedure Mr. Potter had
C. Mr. Potter's relevant health history
D. Anesthetic agents and other drugs that were administered to Mr. Potter
E. Mr. Potter's estimated blood loss during surgery
G. Mr. Potter's fluid status and IV therapy
In providing care for Mr. Potter, your first step is to: - ✔️✔️A. assess your patient
You know that nursing care in PACU is multifaceted and involves: - ✔️✔️A. monitoring
the patient's physiological status
B. intervening to ensure uneventful recovery from anesthesia and surgery
C. providing a safe environment for the patient experiencing limitations in physical,
mental, and emotional function
D. preventing or promptly treating complications in the immediate post-anesthesia
period
E. upholding the patient's rights to dignity, privacy, and confidentiality
In PACU, many assessments and interventions are done simultaneously. However, the
most critical, high-priority assessment to be done with Mr. Potter is his: - ✔️✔️D.
airway
What TWO assessments are your next priorities? - ✔️✔️D. Pulse
E. Blood pressure